Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

WELLCARE HEALTH MANAGEMENT, INC.

Home Health·MELVILLE, NY·NPI: 1336516350Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.5M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$42.5M

$42,485,796

Total Claims

346K

Beneficiaries

16K

22.0 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+138%
2019
$4.4M
+63%
2020
$7.2M
+4%
2021
$7.5M
+11%
2022
$8.3M
-1%
2023
$8.2M
-38%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 100% of total spending.

T1019Normal range

Personal care services, per 15 min

$42.4M

346K claims · 99.9%

Your Cost: $122.73/claim|Median: $82.47
1.5× median
T1022Normal range

$39K

219 claims · 0.1%

Your Cost: $176.64/claim|Median: $184.03
1.0× median
99199Top 5%

Unlisted special service, procedure, or report

$9K

44 claims · 0.0%

Your Cost: $212.28/claim|Median: $5.39
39.4× median